2.50
Hdl Handle:
http://hdl.handle.net/10755/159280
Type:
Presentation
Title:
Meaning of Delegation to Acute Care Nurses
Abstract:
Meaning of Delegation to Acute Care Nurses
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Standing, Theresa, PhD, RN
Title:Assistant Professor
Contact Address:SON, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Co-Authors:Mary Anthony, PhD, Associate Professor
Nurses are increasingly delegating to unlicensed assistive personnel (UAP) as health care systems design care configurations to contain costs and maintain quality. Some nurses do not realize they are delegating to UAP, and are therefore accountable, if the tasks are imbedded within the UAP’s job description. With the nursing shortage and changing workforce composition nurses must know when they are delegating and how to delegate. The purpose of this qualitative study was to describe the nature and meaning of delegation from the nurses’ perspective. Conceptual framework: Fishbein and Ajzen’s (1975) Theory of Reasoned Action was used to guide this study. This theory is based on the tenet that beliefs and attitudes ultimately influence behavior. If nurses do not believe they are delegating nursing tasks routinely carried out by UAP, this belief will affect their delegating and supervising behavior and ultimately, patient outcomes. Participants: Seventeen staff nurse participants were purposefully recruited from a variety of acute care settings in a large teaching hospital. The nurses were educated at the BS/BSN level and had practiced from 7 months to 27 years (M=8.8 years). Methods: For this phenomenological study, in-depth interviews were conducted with the nurses, audio tape recorded, transcribed verbatim and analyzed using the Giorgi approach. Rigor of the study was insured using criteria for qualitative research as outlined by Lincoln and Guba. Results: A description of the nature and meanings of delegation was developed using Donabedian’s Structure, Process, Outcome model to organize the findings. The process of delegation centered on communication and the nurse/UAP relationship and was shaped by the structural themes. The outcomes of delegation included nursing and patient outcomes. Conclusions/Implications: Nurse educators should stress more experiential learning in human relations and communication across age, education and cultural differences to help nurses delegate effectively.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMeaning of Delegation to Acute Care Nursesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159280-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Meaning of Delegation to Acute Care Nurses</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Standing, Theresa, PhD, RN </td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Anthony, PhD, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">Nurses are increasingly delegating to unlicensed assistive personnel (UAP) as health care systems design care configurations to contain costs and maintain quality. Some nurses do not realize they are delegating to UAP, and are therefore accountable, if the tasks are imbedded within the UAP&rsquo;s job description. With the nursing shortage and changing workforce composition nurses must know when they are delegating and how to delegate. The purpose of this qualitative study was to describe the nature and meaning of delegation from the nurses&rsquo; perspective. Conceptual framework: Fishbein and Ajzen&rsquo;s (1975) Theory of Reasoned Action was used to guide this study. This theory is based on the tenet that beliefs and attitudes ultimately influence behavior. If nurses do not believe they are delegating nursing tasks routinely carried out by UAP, this belief will affect their delegating and supervising behavior and ultimately, patient outcomes. Participants: Seventeen staff nurse participants were purposefully recruited from a variety of acute care settings in a large teaching hospital. The nurses were educated at the BS/BSN level and had practiced from 7 months to 27 years (M=8.8 years). Methods: For this phenomenological study, in-depth interviews were conducted with the nurses, audio tape recorded, transcribed verbatim and analyzed using the Giorgi approach. Rigor of the study was insured using criteria for qualitative research as outlined by Lincoln and Guba. Results: A description of the nature and meanings of delegation was developed using Donabedian&rsquo;s Structure, Process, Outcome model to organize the findings. The process of delegation centered on communication and the nurse/UAP relationship and was shaped by the structural themes. The outcomes of delegation included nursing and patient outcomes. Conclusions/Implications: Nurse educators should stress more experiential learning in human relations and communication across age, education and cultural differences to help nurses delegate effectively.</td></tr></table>en_GB
dc.date.available2011-10-26T21:52:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:52:14Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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